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[肺活检及支气管灌洗中肿瘤标志物的分析]

[Analysis of tumor markers in lung biopsies and in bronchial lavage].

作者信息

Vogel J, Loos U, Oehr P

机构信息

Pathologisches Institut, Universität Bonn.

出版信息

Pneumologie. 1990 Feb;44 Suppl 1:465-6.

PMID:2164199
Abstract

The aim of this study was to conduct immunohistochemical examinations of cell and tissue material compared with clinical examinations of markers to discover the possible mechanisms that can result in marker concentration increases in the plasma and other body fluids. From cell material and biopsies it was possible to identify in small-cell carcinomas TPA (52% of the carcinomas), NSE (57%) and no CEA. Of the non-small cell carcinomas (squamous cell and adenocarcinomas) 88% were TPA-positive, 52% CEA-positive and in metastases 100% TPA-positive and 66% CEA-positive. NSE was not found. Marker examinations in tissue and cell material can yield satisfactory results in recognising neuroendocrinal differentiations, and in diagnosis and differential diagnosis of metastases and lymphomas, compared with clinical tumour marker studies.

摘要

本研究的目的是对细胞和组织材料进行免疫组化检查,并与标志物的临床检查进行比较,以发现可能导致血浆和其他体液中标志物浓度升高的机制。从小细胞癌的细胞材料和活检组织中可以鉴定出组织多肽抗原(TPA,52%的癌)、神经元特异性烯醇化酶(NSE,57%),未发现癌胚抗原(CEA)。在非小细胞癌(鳞状细胞癌和腺癌)中,88%为TPA阳性,52%为CEA阳性,在转移灶中100%为TPA阳性,66%为CEA阳性。未发现NSE。与临床肿瘤标志物研究相比,对组织和细胞材料进行标志物检查在识别神经内分泌分化、转移瘤和淋巴瘤的诊断及鉴别诊断方面可产生满意的结果。

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